Mielinólisis central pontina de curso subagudo secundario a hiperglucemias / Subacute central pontine myelinolysis secondary to hyperglycaemia

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¿Ha cambiado la actividad asistencial de la neurología pediátrica en 11 años? / Has clinical activity in paediatric neurology changed in the past 11 years?

Introducción: Pensamos que en la última década ha existido un aumento en la demanda de atención de neurología pediátrica (NP) por parte de la población pero también con un cambio cualitativo en las patologías que se atienden. Por este motivo planteamos realizar un segundo registro (2013) y analizar si existían o no diferencias con el efectuado en el año 2002. Métodos: Se realiza un registro prospectivo de actividad asistencia de NP en el Hospital Universitario de Getafe en 2013 y se compara con otro registro prospectivo previo realizado en 2002. Resultados: Se ha pasado de 1.300 consultas a 1.982 (incremento del 52,46%) y de 32,6 consultas/1.000 niños al año a 57,48 (76,32% de aumento). La actividad en consulta supone el 92,2% de toda la asistencia neuropediátrica del 2013; actualmente el trastorno por déficit de atención e hiperactividad (TDAH) es la patología más frecuente (27,6% en 2013/8,1% en 2002). Aunque las cefaleas siguen siendo muy frecuentes han disminuido (19% en 2013/22% en 2002). Como primeras consultas la cefalea sigue siendo la más frecuente en 2013 (32,1%), seguida del TDAH (19,1%). En régimen de hospitalización la epilepsia continúa siendo el diagnóstico más frecuente (30,3% en 2013/36,7% en 2002). Conclusiones: La NP continúa siendo una actividad básicamente ambulatoria, con un incremento considerable en los últimos años. Este aumento se debe fundamentalmente a los trastornos del neurodesarrollo y muy especialmente al TDAH. Podríamos decir que el TDAH es a la NP lo que la demencia a la neurología general

Introduction: We believe that the demand for paediatric neurology (PN) care has increased over the past decade, and that reasons for requesting consultations have also changed. The objective of this study is to complete a registry study to profile the demand for PN care in 2013 and compare results to those from a study performed in 2002. Methods: A prospective registry of PN healthcare activities was completed at Hospital Universitario de Getafe in 2013. Results were compared with those from a prospective registry study conducted in 2002. Results: The number of visits increased from 1,300 in 2002 to 1,982 in 2013 (a 52.46% increase), and from 32.6 visits per 1,000 children to 57.48 (a 76.32% increase). Outpatient consultations accounted for 92.2% of all PN consultations in 2013. Currently, attention deficit-hyperactivity disorder (ADHD) is the most frequent diagnosis (27.6% in 2013 vs. 8.1% in 2002). Although the percentage of headache consultations has decreased (19% in 2013 vs. 22% in 2002), headache was still the most common reason for an initial visit in 2013 (32.1%), followed by ADHD (19.1%). Epilepsy remains the most frequent diagnosis in hospitalised patients (30.3% in 2013 vs. 36.7% in 2002). Conclusions: PN is fundamentally an outpatient activity that has increased considerably in recent years. This increase is mainly due to neurodevelopmental disorders, especially ADHD. We might state that the role of ADHD in PN is comparable to that of dementia in general neurology

Has clinical activity in paediatric neurology changed in the past 11 years? / ¿Ha cambiado la actividad asistencial de la neurología pediátrica en 11 años?

INTRODUCTION: We believe that the demand for paediatric neurology (PN) care has increased over the past decade, and that reasons for requesting consultations have also changed. The objective of this study is to complete a registry study to profile the demand for PN care in 2013 and compare results to those from a study performed in 2002. METHODS: A prospective registry of PN healthcare activities was completed at Hospital Universitario de Getafe in 2013. Results were compared with those from a prospective registry study conducted in 2002. RESULTS: The number of visits increased from 1,300 in 2002 to 1,982 in 2013 (a 52.46% increase), and from 32.6 visits per 1,000 children to 57.48 (a 76.32% increase). Outpatient consultations accounted for 92.2% of all PN consultations in 2013. Currently, attention deficit-hyperactivity disorder (ADHD) is the most frequent diagnosis (27.6% in 2013 vs. 8.1% in 2002). Although the percentage of headache consultations has decreased (19% in 2013 vs. 22% in 2002), headache was still the most common reason for an initial visit in 2013 (32.1%), followed by ADHD (19.1%). Epilepsy remains the most frequent diagnosis in hospitalised patients (30.3% in 2013 vs. 36.7% in 2002). CONCLUSIONS: PN is fundamentally an outpatient activity that has increased considerably in recent years. This increase is mainly due to neurodevelopmental disorders, especially ADHD. We might state that the role of ADHD in PN is comparable to that of dementia in general neurology.

Global or local construction materials for post-disaster reconstruction? Sustainability assessment of 20 post-disaster shelter designs.

This data article presents the life cycle inventories of 20 transitional shelter solutions. The data was gathered from the reports 8 shelter designs [1]; 10 post-disaster shelter designs [2]; the environmental impact of brick production outside of Europe [3]; and the optimization of bamboo-based post-disaster housing units for tropical and subtropical regions using LCA methodologies [4]. These reports include bill of quantities, plans, performance analysis, and lifespan of the studied shelters. The data from these reports was used to develop the Life Cycle Inventories (LCI). All the amounts were converted from their original units (length, volume and amount) into mass (kg) units and the transport distance into ton×km. These LCIs represent the production phases of each shelter and the transportation distances for the construction materials. Two types of distances were included, local (road) and international (freight ship), which were estimated based on the area of the country of study. Furthermore, the digital visualization of the shelters is presented for each of the 20 designs. Moreover, this data article presents a summary of the results for the categories Environment, Cost and Risk and the contribution to the environmental impact from the different building components of each shelter. These results are related to the article "Global or local construction materials for post-disaster reconstruction? Sustainability assessment of 20 post-disaster shelter designs"[5].

R(5)Pn(3)-type phases of the heavier trivalent rare-earth-metal pnictides (Pn = Sb, Bi): new phase transitions for Er(5)Sb(3) and Tm(5)Sb(3).

The syntheses and distributions of binary R(5)Pn(3) phases among the hexagonal Mn(5)Si(3) (M), and the very similar orthorhombic beta-Yb(5)Sb(3) (Y) and Y(5)Bi(3) (YB) structure types have been studied for R = Y, Gd-Lu and Pn = Sb, Bi. Literature reports of M and YB-type structure distributions among R(5)Pn(3) phases, R = Y, Gd-Ho, are generally confirmed. The reported M-type Er(5)Sb(3) could not be reproduced. Alternate stabilization of Y-type structures by interstitials H or F has been disproved for these nominally trivalent metal pnictides. Single crystal structures are reported for (a) the low temperature YB form of Er(5)Sb(3) (Pnma, a = 7.9646(9) A, b = 9.176(1) A, c = 11.662(1) A), (b) the YB- and high temperature Y-types of Tm(5)Sb(3) (both Pnma, a = 7.9262(5), 11.6034(5) A, b = 9.1375(6), 9.1077(4) A, c = 11.6013(7), 7.9841(4) A, respectively), and (c) the YB structure of Lu(5)Sb(3), a = 7.8847(4) A, b = 9.0770(5) A, c = 11.5055(6) A. Reversible, temperature-driven phase transitions (beta-Yb(5)Sb(3) left arrow over right arrow Y(5)Bi(3) types) for the former Er(5)Sb(3) and Tm(5)Sb(3) around 1100 degrees C and the means of quenching the high temperature Y form, have been esstablished. According to their magnetic susceptibilities, YB-types of Er(5)Sb(3) and Tm(5)Sb(3) contain trivalent cations. Tight-binding linear muffin-tin-orbital method within the atomic sphere approximation (TB-LMTO-ASA) calculations for the two structures of Tm(5)Sb(3) reveal generally similar electronic structures but with subtle Tm-Tm differences supporting their relative stabilities. The ambient temperature YB-Tm(5)Sb(3) shows a deep pseudogap at E(F), approaching that of a closed shell electronic state. Short R-R bonds (3.25-3.29 A) contribute markedly to the structural stabilities of both types. The Y-type structure of Tm(5)Sb(3) shows both close structural parallels to, and bonding contrasts with, the nominally isotypic, stuffed Ca(5)Bi(3)D and its analogues. Some contradictions in the literature are discussed.

Hydrogen impurity effects. A(5)Tt(3)Z intermetallic compounds between A = Ca, Sr, Ba, Eu, Yb and Tt = Sn, Pb with Cr(5)B(3)-like structures that are stabilized by hydride or fluoride (Z).

The binary systems Ca-Sn, Ba-Sn, Eu-Sn, Yb-Sn, Sr-Pb, Ba-Pb, and Eu-Pb do not contain Cr(5)B(3)-like A(5)Tt(3) phases when care is taken to exclude hydrogen from the reactions (Tt = tetrel, Si-Pb). All form ternary A(5)Tt(3)H(x)() phases (x < or = 1) with "stuffed" Cr(5)B(3)-like structures instead, and all of those tested, Ca-Sn, Ba-Sn, Sr-Pb, and Ba-Pb, also yield the isostructural A(5)Tt(3)F. The structures and compositions of Ca(5)Sn(3)H(x), Ca(5)Sn(3)F(0.89), Eu(5)Sn(3)H(x), and Sr(5)Pb(3)F have been refined from single-crystal X-ray diffraction data and of Ca(5)Sn(3)D from powder neutron data. The interstitial H, F atoms are bound in a tetrahedral (A(2+))(4) cavity in a Cr(5)B(3)-type metal atom structure. Nine previous reports of binary "Ba(5)Sn(3)", "Yb(5)Sn(3)", "Sr(5)Pb(3)", and "Ba(5)Pb(3)" compounds were wrong and presumably concerned the hydrides. The new ternary phases are generally Pauli-paramagnetic, evidently with pi electrons from the characteristic tetrelide dimers in this structure type at least partially delocalized into the conduction band. The Sn-Sn bonds appear correspondingly shortened on oxidation. Other new phases reported are CaSn (CrB type), Yb(5)Sn(4)H(x) (Sm(5)Ge(4)), YbSn ( approximately TlTe), Ba(5)Pb(3) ( approximately W(5)Si(3)), and Yb(31)Pb(20) (Ca(31)Sn(20)).

Optimization of gibberellic acid production by immobilized Gibberella fujikuroi mycelium in fluidized bioreactors.

An orthogonal experimental design L9 (3(4)) was used to investigate effects of temperature, pH, C:N ratio (glucose-C, NH4Cl-N) and concentrations of rice flour on production of gibberellic acid by Gibberella fujikuroi in 3.5 l fluidized bioreactors. The gibberellic acid production in a fluidized bioreactor could reach 3.90 g l(-1), more than 3-times greater than previously reported for submerged and solid fermentations. pH, rice flour concentration and C:N ratio were the factors that most influenced the production of gibberellic acid; pH being the most important. The response surface of gibberellic acid production to changes in pH and C:N ratio or rice flour concentration indicated that greatest production was found with a C:N ratio of 36.8 and pH 5 while the optimum concentration for rice flour was 2 g l(-1) and production increased with increased pH. The effect of temperature on the production of gibberellic acid was also significant and greatest production was at 30 degrees C.

Stabilization by Hydrogen. Synthetic and Structural Studies of the Zintl Phase Ba(5)Ga(6)H(2).

Synthesis of the phase formerly reported as Ba(5)Ga(6) succeeds only in the presence of hydrogen. The heavy atom structure of Ba(5)Ga(6)H(2) has been redetermined by single-crystal X-ray diffraction (trigonal P3c1, Z = 2, a = 7.7698(2) Å, c = 14.3902(7) Å), and the hydrogen positions have been elucidated by time-of-flight neutron powder diffraction. The unit cell contains isolated slightly distorted octahedra Ga(6)(8)(-) with barium cations over all edges. Hydride is bound in two types of barium tetrahedra [d(Ba-H) = 2.61-2.62 Å]. The stoichiometry is appropriate for a Zintl phase: (Ba(2+))(5)Ga(6)(8)(-)(H(-))(2).

Sodium Dodecyl Sulfate-Polyacrylamide Gel Electrophoresis Protein Banding Patterns among Rhizobium leguminosarum biovar phaseoli Strains Isolated from the Mexican Bean Phaseolus coccineus.

Several rhizobial strains were isolated from Phaseolus coccineus root nodules and were determined to be Rhizobium leguminosarum biovar phaseoli strains after reinfection of the same host plant. These strains were characterized by cultural procedures (growth on different carbon sources and intrinsic antibiotic resistance) and electrophoretic procedures (sodium dodecyl sulfate-polyacrylamide gel electrophoresis of total proteins). Our results showed that these rhizobia are very similar to each other, especially in their electrophoretic protein banding patterns, suggesting that they might belong to isolated populations.

[Bilateral tubal occlusion by postpartum mini-laparotomy under local anesthesia and sedation]. / Oclusión tubaria bilateral por minilaparotomía post parto con sedación y anestesia local.

The first 1000 cases of tubal sterilization post-delivery by minilaparotomy with sedation and local anesthetic, were reviewed; these procedures were realized at the Hospital of Zona Francisco del Paso y Troncoso of the IMSS, in México City, during the period comprehended between December 1990 and October 1991. The greatest group of cases by age corresponded to the period between 20 to 29 years in 52.3%. 65% of the women had 3 or 4 children alive. The range of the diastolic blood pressure was between 70-80 mmHg in 66.3%. 19.7% with a value of hemoglobin less than 10 g. 2.3% of the patients with 100-120 kgs. of weight. The contraceptive method used previously with greatest frequency was the DIU in 40.6%. In all of the cases the indication was satisfied parenthood. In 100% of the cases the same drug was used for sedation, diazepam (oral) and chlorhydrate of nalbulfine, with simple lidocaine as a local anesthetic. Likewise in all the cases the Pomeroy technique was performed. The time between the childbirth and the surgery was less than 12 hours in 92.9% of the cases. And the time between the surgery and the recuperation reset was of 12-34 hours in 96%. In 0.8% of the cases the transoperatory complication of the surgery was the bleeding as a result of tearing of the mesosalpinx. The postoperatory complications after one week were the formation of hematoma and/or abscess at the site of the incision representing 0.5% of the cases. All these procedures are realized at a unit that was created especially for this kind of surgery and treatment.

PIP: The first 1000 postpartum tubal occlusions by minilaparotomy under sedation and local anesthesia performed at a Mexican Institute of Social Security hospital in Mexico City were retrospectively reviewed. The operations took place between December 1990 and October 1991. The youngest patient was 17 and five patients were under 20. 52.3% were aged 20-29, 31.9% were aged 30-34, and 13.8% were aged 35-40. 65% of the women had three or four live births and 16.8% had two. The diastolic blood pressure was between 81 and 90 for 12.1%, between 91 and 100 for 8.9%, and between 101 and 120 for 3.7%. 19.7% had hemoglobin levels below 10 g. 37 women with hemoglobin levels between 4 and 8 g were sterilized; all received transfusions before discharge. 66.7% of the women weighed between 50 and 70 kg, but 2.3% weighed 100-120 kg. 40.6% used IUDs, 16.8% oral contraceptives, and 14.2% injectable methods. 24.8% had never used a contraceptive method. The Pomeroy technique was used in all cases. All patients were given Lidocaine. The operation was performed within 12 hours of delivery in 92.8% of cases. 96.3% of the women were discharged within 24 hours. Bleeding, resulting from tearing of the mesosalpinx, occurred in 0.8% of cases. A hematoma or abscess at the site of the incision was observed in 0.5% at one week follow-up. The data indicate that bilateral tubal occlusion by postpartum minilaparotomy under local anesthesia and sedation, rather than general anesthesia, is a rapid and safe procedure, even for obese and hypertensive women.

Respiratory electron transfer activity in an asolectin-isooctane reverse micellar system.

Bovine heart submitochondrial particles (SMP) were solubilized in an asolectin isooctane reverse micellar system and the functionality of the respiratory chain was tested by spectroscopic and amperometric techniques. Electron transfer rate supported by NADH was very slow as evidenced by the low cytochrome reduction levels attained over long incubation periods. In the presence of KCN, NADH caused 34% and 12.5% reduction of the cytochromes aa3 and c, respectively, and negligible reduction of cytochrome b. Supplementation of the system with menadione rose the NADH-dependent reduction of all the cytochromes to levels that were close to the total content. However, no measurable O2 uptake activity took place in the presence of NADH plus menadione, or with ascorbate (or NADH) plus TMPD reducing systems. Therefore, it is suggested that in the organic medium, electron transfer from NADH to O2 is arrested at the terminal oxidase step. Cytochrome oxidase reduced by ascorbate (or NADH) plus TMPD seems to be trapped in its half reduced state (ie, a2+ a3(3+)). Although it is poorly reactive with O2, it can transfer electrons back to cytochrome c and TMPD. The electron transfer block to O2 was overcome when PMS was used instead of TMPD. This seems to be due to the recognized capacity of PMSH2 to carry out simultaneous reduction of both a CuA and a3 CuB redox centers of cytochrome oxidase. The cytochrome oxidase reaction in the organic solvent was highly sensitive to KCN (Ki 1.9 microM) and showed bell-shaped kinetics towards the PMS concentration and a sigmoidal response to water concentration, reaching its maximal turnover number (18 s-1) at 4 mM PMS and 1.1% (v/v) water.(ABSTRACT TRUNCATED AT 250 WORDS)

Review article: structural and functional properties of cytochrome aa3 from bacteria.

The aa3 oxidases from bacteria form a group of related enzymes that resemble the far more complex mitochondrial cytochrome c oxidase, both functionally and structurally. These enzymes catalyze electron transfer from ferrocytochrome c to oxygen to produce water. This transfer is coupled to proton translocation. Several oxidases of this type have been purified from cytoplasmic membranes of bacteria. This review summarizes the present knowledge on purified bacterial aa3 oxidases and correlates these findings with data available for the eukaryotic cytochrome c-oxidases.

Catalytic activity of cytochrome oxidase and cytochrome c in apolar solvents containing phospholipids and low amounts of water.

Cytochrome c and cytochrome oxidase, in bovine heart submitochondrial particles and in their purified forms, were transferred to a ternary system that contained phospholipids (10 mg/ml toluene), the apolar solvent toluene, and water at concentrations of 13-15 microliters (high water) and 3 microliters (low water) per milliliter of toluene. When the enzymes were transferred back to an all water system, they exhibited full catalytic capacity. In the low water ternary system, cytochrome c could be reduced by ascorbate introduced via inverted micelles. Also in this system, cytochrome oxidase was reduced by ascorbate and cytochrome c but its oxidation was highly impaired. Data on the kinetics of reduction by ascorbate of cytochrome c and cytochrome oxidase under these conditions are presented. Cytochrome oxidase reduced in the organic solvent by ascorbate failed to form a complex with CO, but formed a complex with cyanide introduced via inverted micelles. The oxidized and the ascorbate-reduced cytochrome oxidase-cyanide complex exhibited a trough at 415 nm and a peak at 433 nm. The extent and rate of formation of the cyanide complex were higher with the reduced form of cytochrome oxidase. To achieve protein-protein interactions (cytochrome c-cytochrome oxidase) in the ternary system, it was necessary to extract the two proteins together. There was no functional interaction when they were extracted separately and mixed. In the high water ternary system reduced cytochrome oxidase was not detected, and it oxidized ascorbate at a higher rate than in the low water system; however, this rate was several orders of magnitude lower than in aqueous media.

Isolation of a Rhizobium phaseoli cytochrome mutant with enhanced respiration and symbiotic nitrogen fixation.

Cultured cells of a Rhizobium phaseoli wild-type strain (CE2) possess b-type and c-type cytochromes and two terminal oxidases: cytochromes o and aa3. Cytochrome aa3 was partially expressed when CE2 cells were grown on minimal medium, during symbiosis, and in well-aerated liquid cultures in a complex medium (PY2). Two cytochrome mutants of R. phaseoli were obtained and characterized. A Tn5-mob-induced mutant, CFN4201, expressed diminished amounts of b-type and c-type cytochromes, showed an enhanced expression of cytochrome oxidases, and had reduced levels of N,N,N',N'-tetramethyl-p-phenylenediamine, succinate, and NADH oxidase activities. Nodules formed by this strain had no N2 fixation activity. The other mutant, CFN4205, which was isolated by nitrosoguanidine mutagenesis, had reduced levels of cytochrome o and higher succinate oxidase activity but similar NADH and N,N,N',N'-tetramethyl-p-phenylenediamine oxidase activities when compared with the wild-type strain. Strain CFN4205 expressed a fourfold-higher cytochrome aa3 content when cultured on minimal and complex media and had twofold-higher cytochrome aa3 levels during symbiosis when compared with the wild-type strain. Nodules formed by strain CFN4205 fixed 33% more N2 than did nodules formed by the wild-type strain, as judged by the total nitrogen content found in plants nodulated by these strains. Finally, low-temperature photodissociation spectra of whole cells from strains CE2 and CFN4205 reveal cytochromes o and aa3. Both cytochromes react with O2 at -180 degrees C to give a light-insensitive compound. These experiments identify cytochromes o and aa3 as functional terminal oxidases in R. phaseoli.

Transfer of spores, bacteria and yeast into toluene containing phospholipids and low amounts of water: preservation of the bacterial respiratory chain.

A method that allows the transfer of spores, bacteria and yeasts into a ternary system composed of toluene, phospholipids and low amounts of water is described. Initially an emulsion is formed by sonication of cells suspended in water in presence of toluene and phospholipids. The emulsion formed was subsequently clarified by blowing N2 on its surface and transparency was achieved when the water content of the system was reduced to 1-3 microliter/ml of organic solvent. The cells in ternary systems exhibit a reduction of cell volume, but the general structure is preserved. About 1/10,000 bacilli or yeast were viable, but spores were viable after 30 days in the ternary system. Yeast cells transferred to the ternary system, and back to an all water media failed to show oxygen uptake. In contrast bacilli that remained in the ternary system for 2 days respired to 80% of their maximal capacity when returned to an aqueous media.

Adriamycin as an inhibitor of 11 beta-hydroxylase activity in adrenal cortex mitochondria.

Inhibition of 11 beta-hydroxylase activity was observed to be due to the interaction of adriamycin with adrenal cortex mitochondria. The inhibition of the enzyme was uncompetitive, with an apparent Ki of 100 microM, and was dependent upon the concentration of the drug and the time of incubation. Adriamycin increased the oxygen consumption of these mitochondria. EPR studies showed that adriamycin was reduced to a free radical semiquinone which served to shuttle electrons to oxygen, leading to an impairment in the reduction of cytochrome P450. It is suggested this may be the mechanism for the inhibitory effect of the drug on 11 beta-hydroxylase activity.

Cholera-like enterotoxin produced by Campylobacter jejuni. Characterisation and clinical significance.

The presence and clinical significance of enterotoxins produced by Campylobacter jejuni were investigated. The supernatant of a prototype virulent strain grown in supplemented medium induced intraluminal fluid secretion in rat ileal loop but not in rabbit ileal loop or the infant mouse assay. It induced elongation and increased intracellular cyclic AMP levels in Chinese hamster ovary cells. Toxin activity was blocked by cholera antitoxin and was destroyed by heat and high or low pH; its molecular weight is in the range 10(4)-10(5) daltons. Toxin production was detected in 24 of 32 C jejuni strains from patients with diarrhoea and 1 of 6 from carriers. Antibody response to autologous C jejuni somatic antigen was investigated in 19 subjects for whom serial serum specimens were available. A fourfold rise was observed in all 10 patients with enterotoxigenic C jejuni diarrhoea, in 1 of 3 patients with non-enterotoxigenic C jejuni, and in none of the symptomless carriers of non-enterotoxigenic strains. These findings demonstrate that C jejuni produces an enterotoxin that may be important in pathogenesis of diarrhoea.